Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 204C00000X | Sports Medicine Doctor | M7824 | TX |
Y | 207Q00000X | Family Doctor | M7824 | TX |
NPI | 1730383324 |
---|---|
Provider Name | Norberto Alvarez JR. |
First Address | Laredo, TX 78040-3417 |
Second Address | Laredo, TX 78040-3417 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 14/06/2007 |
Last Update Date | 27/04/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
208483202 | (05) | TX |
208483204 | (05) | TX |
208483205 | (05) | TX |
208484001 | (05) | TX |
208484002 | (05) | TX |